Employment Application - HVAC/R Industry Skills Section Instructions - Select Your HVAC/R Competency

Oct 4, 2026

Uploaded by Marglet

Employment application collecting candidate personal details, contact information, availability, and eligibility to work in the U.S. Includes sections for citizen status, willingness to work out of town and nights/weekends, prior employment at the company, and felony convictions with explanations. Captures education history, professional references, and work experience with employer, supervisor, dates, pay, and reason for leaving, plus permission to contact references. Adds military service, a certification and signature, and HVAC/R industry skills checkboxes covering equipment size, manufacturers, systems, parts, accessories, and applications.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages4

Reading Time10 min

AccessFree to download

Personal Information

Education

Professional References

Work Experience

Military Service

Disclaimer and Signature

HVAC/R Industry Skills Section Instructions

EmploymEnt ApplicAtion Position Applying for: 105 Sylvia Rd, Ashland VA 23005 Phone: 804.368.8543 Fax: 804.368.0566 Application Date: / / [www.GetGreenAir.com](www.GetGreenAir.com) | pErsonAl informAtion | | | | | --- | --- | --- | --- | | Full Name | | | | | Address | | | | | Primary Phone | | Email: | | | Date Available: | | | Social Security Number | | Drivers License \# | State DL Held | | Date of Birth | | Are you a U.S. Citizen | ☐ Yes | ☐ No | If no, are you authorized to work in the U. S? | ☐ Yes | ☐ No | | --- | --- | --- | --- | --- | --- | | Are you able to work out of town? | ☐ Yes | ☐ No | Are you able to work Nights or Weekends? | ☐ Yes | ☐ No | | Have you ever worked for this company? | ☐ Yes | ☐ No | If yes, when? | | | | Have you ever been convicted of a Felony? | ☐ Yes | ☐ No | If yes, Explain: | | | | EducAtion | | | | | | --- | --- | --- | --- | --- | | TyPe of School | School | locATioN | yeArS of
comPleTioN | mAjor & Degree | | High School | | | | | | College/University | | | | | | Bus.or Trade School | | | | | | Professional School | | | | | | profEssionAl rEfErEncEs | | | --- | --- | | Name | Name | | Position | Position | | Company | Company | | Phone | Phone | | Email | Email | | Name | Name | | Position | Position | | Company | Company | | Phone | Phone | | Email | Email | Work ExpEriEncE Please list your work experience, beginning with your most recent job. Attach resume if applicable Years of work experience directly related to the position you are applying for: | Employer | Supervisor | Employment Dates | Pay or Salary | | --- | --- | --- | --- | | Address | | From To | Start
Final | | Phone | Job Title | | | | Reason for Leaving | | | | | May we contact this employer? ☐ Yes ☐ No | | | | | Employer | Supervisor | Employment Dates | Pay or Salary | | Address | | From To | Start
Final | | Phone | Job Title | | | | Reason for Leaving | | | | | May we contact this employer? ☐ Yes ☐ No | | | | | Employer | Supervisor | Employment Dates | Pay or Salary | | Address | | From To | Start
Final | | Phone | Job Title | | | | Reason for Leaving | | | | | May we contact this employer? ☐ Yes ☐ No | | | | militAry sErvicE | Branch | Dates of Service: | | --- | --- | | Rank at Discharge | Type of Discharge | | If other than Honorable, explain: | | disclAimEr And signAturE I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand I must pass a drug test and background screening before my employment begins and grant permission to Green Air, Inc. to receive the results on both tests. Signature Date HVAC/R INDUSTRY SKILLS SECTION INSTRUCTIONS: ONLY select the specific industry skills that you consider yourself to be very knowledgeable about, with a high level of competency. | HVAC/R Industry Skills | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | What Size of HVAC/R equipment have you worked with? (Select all that apply)
􀂉 1-5 Tons 􀂉 5-20 Tons 􀂉 20-50 Tons 􀂉 50-100 Tons 􀂉 100+ Tons | | | | | | | | | | | What Manufacturers Equipment have you worked | | | | | with? (Select all that apply)
􀂉 Kold Draft
􀂉 Lennox
􀂉 Liebert
􀂉 Luxaire
􀂉 Manitowoc
􀂉 Maytag
􀂉 McQuay
􀂉 Perlick
􀂉 Philco
􀂉 Rheem | | 􀂉 Ruud
􀂉 Sani Serv
􀂉 Seibe
􀂉 Siemens
􀂉 Storlting
􀂉 Tappan
􀂉 Taylor
􀂉 Tekmar
􀂉 Thermo King | | 􀂉 Toshiba
􀂉 Trane
􀂉 Traulsen
􀂉 TRUE
􀂉 United
􀂉 Victory
􀂉 Vogt
􀂉 Westinghouse
􀂉 York | | 􀂉
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􀂉 | American Standard Andover Controls Beverage Air Bryant
Carrier Coleman
Cornecius Crystal Tip
Cummins & Woodward Daikin | 􀂉
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FAQs

What personal information does the employment application request?

It requests full name, address, primary phone, email, date available, drivers license number and state, date of birth, and social security number. It also asks whether the applicant is a U.S. citizen and whether they are authorized to work in the U.S.

How should the applicant list work experience?

Work experience should be listed beginning with the most recent job. Each entry includes employer, supervisor, employment dates, pay or salary, employer address, job title, reason for leaving, and whether the company may contact the employer.

What is the purpose of the HVAC/R Industry Skills Section?

It instructs applicants to select only the HVAC/R industry skills they are very knowledgeable about and highly competent in. The form uses checkboxes for equipment size, manufacturers, equipment and system types, parts and accessories, and application experience.

Oct 4, 2026

Uploaded by Marglet